Top End Specialist And Referral Directory June 2016
Transcription
Top End Specialist And Referral Directory June 2016
Top End Specialist And Referral Directory June 2016 Originally produced by GP – Hospital Liaison Project RDH. Reviewed and preliminary update by NT PHN Clinical and Public Health Advisor (CPHA) Unit May 2016. For all further updates please contact NT PHN CPHA Unit on 08 8982 1000 HOSPITALS ...................................................................................................................................................................................... 4 Referral Information ........................................................................................................................................................................... 5 RDH Clinical Enquiries/Requests for Information ............................................................................................................................... 5 Interpreter Services ........................................................................................................................................................................... 5 INVESTIGATION RESULTS ............................................................................................................................................................. 6 RDH EMERGENCY DEPARTMENT ................................................................................................................................................. 7 MEDICINE ......................................................................................................................................................................................... 8 Acute And General Medicine ............................................................................................................................................................. 8 Intensive Care Medicine .................................................................................................................................................................... 8 Anaesthetics ...................................................................................................................................................................................... 9 Alcohol And Other Drugs ................................................................................................................................................................... 9 Cardiology ....................................................................................................................................................................................... 10 Dermatology .................................................................................................................................................................................... 10 Endocrinology and Diabetes ............................................................................................................................................................ 11 Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results Exercise And Sports Medicine ......................................................................................................................................................... 12 Gastroenterology ............................................................................................................................................................................. 12 Genetics .......................................................................................................................................................................................... 13 Geriatrics ......................................................................................................................................................................................... 13 Haematology ................................................................................................................................................................................... 15 Hepatology – Liver Clinic ................................................................................................................................................................. 16 Hospital In The Home ...................................................................................................................................................................... 16 Immunology And Allergy .................................................................................................................................................................. 17 Infectious Diseases.......................................................................................................................................................................... 17 Neurology ........................................................................................................................................................................................ 19 Oncology ......................................................................................................................................................................................... 19 Palliative Care ................................................................................................................................................................................. 20 Rehabilitation And Medical Pain Service.......................................................................................................................................... 21 Renal ............................................................................................................................................................................................... 22 NT Respiratory And Sleep Outpatients Services .............................................................................................................................. 22 Rheumatology ................................................................................................................................................................................. 23 MENTAL HEALTH .......................................................................................................................................................................... 23 Psychiatry ........................................................................................................................................................................................ 26 Psychology And Counselling Services ............................................................................................................................................. 27 MATERNAL AND CHILD HEALTH ................................................................................................................................................. 28 Gynaecology.................................................................................................................................................................................... 28 Sexual And Reproductive Health ..................................................................................................................................................... 29 Obstetric Care – Public .................................................................................................................................................................... 30 Obstetric Care - Private ................................................................................................................................................................... 30 Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results Other Pregnancy Related Services/Clinics ...................................................................................................................................... 33 PAEDIATRICS ................................................................................................................................................................................ 35 SURGERY ....................................................................................................................................................................................... 37 General............................................................................................................................................................................................ 37 Endoscopy ....................................................................................................................................................................................... 38 Hand Surgery .................................................................................................................................................................................. 39 Laproscopic Banding Surgery .......................................................................................................................................................... 40 Maxillofacial And Hand And Neck Surgery ....................................................................................................................................... 40 Neurosurgery ................................................................................................................................................................................... 41 Ophthalmology ................................................................................................................................................................................ 41 Otolaryngology – Ear, Nose And Throat .......................................................................................................................................... 42 Orthopedic Outpatients Or Fracture Clinic ....................................................................................................................................... 42 Plastic And Reconstructive .............................................................................................................................................................. 43 Sports Medicine – Private Only ........................................................................................................................................................ 44 Urology ............................................................................................................................................................................................ 45 Vascular .......................................................................................................................................................................................... 45 Department of Surgery – Visiting Specialists ................................................................................................................................... 46 Note: Consider current and future applications of National Health Service Directory Note: Many other helpful local and regional directories that may be of use including: Top End Chronic Disease Directory (collaborative with Aboriginal Medical Services Alliance Northern Territory and NT PHN) and NT Alcohol and Other Drug Mental Health Services Directory Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results HOSPITALS PO Box 41326 t 8922 8888 Royal Darwin Hospital CASUARINA NT 0811 Royal Darwin Hospital Download: Royal Darwin Hospital Campus Map Alice Springs Hospital PO Box 2234 t 8951 7777 Alice Springs Hospital ALICE SPRINGS NT 0871 f 8951 7988 Gove Hospital PO Box 421 t 8987 0211 Gove District Hospital GOVE NT 0881 f 8987 0399 Katherine Hospital PMB 73 t 8973 9211 Katherine Hospital KATHERINE NT 0851 f 8973 9000 Tennant Creek Hospital PO Box 346 t 8962 4399 Tennant Creek Hospital TENNANT CREEK NT 0861 f 8962 4311 f 8922 8286 t 8920 6011 Darwin Private Hospital PO Box 42571 CASUARINA NT 0811 f 8920 6008 Admissions Manager Mobile: 0499 513 860 Provide patient name, DOB, Health fund details and reason for admission. DPH will find a suitable consultant and contact your practice Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results to arrange transfer. REFERRAL INFORMATION Adequate and timely information exchange between community and hospital based teams is essential for safe and effective patient care. (Updated by TEHS 15 Sep 2015) Good quality referral helps to improve patient confidence in health services, reduce unnecessary duplication of diagnostic investigations, assist in triage processes, improve care outcomes and support improved efficiency of service delivery. (eMJA: Improving doctors' letters) What is a referral? Sub-specialty list for Royal Darwin Hospital (Updated by Top End Health Service 15 Sep 2015) RDH CLINICAL ENQUIRIES/REQUESTS FOR INFORMATION All requests must be accompanied by patient’s consent and reference to the specific information that you want to receive. Form - Authority to Obtain Medical Information General enquiries requests for information Fax Community Liaison Nurse on 08 8922 7865 Urgent requests should be accompanied by a phone call to Community Liaison Nurse through the RDH switchboard t 08 8922 8888. Alternate point of contact Discharge Planning Resource Unit via m 0401 110 401. Allow 24 - 48 hours for routine requests. Mental Health Services requests for information fax Community Liaison Nurse t 08 8942 6568 For in-patient discharge planning and summaries contact Community Liaison Nurse on t 08 892 27628 or m 0401 116 080. For all other requests, a signed release of information form can be forwarded to the Director of Psychiatry t 8922 7921 or f 08 8922 7742 INTERPRETER SERVICES Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results Aboriginal Interpreter Service (AIS) The AIS provides a 24/7 booking service for on-site Aboriginal language interpreters. Bookings should be made with as much notice as possible. Darwin t 08 8999 8353 f 08 8999 8855 Office Hours: 8am - 4:30pm After hours service t 08 8999 8353 Location: Ground Floor, RCG House, 83-85 Smith St, DARWIN Alice Springs t 08 8951 5576 f 08 8951 5244 Office Hours: 8am - 4:30pm After hours service t 08 8999 8353 Location: Leichardt Building, 21 Gregory Terrace, ALICE SPRINGS Translating and Interpreting Service (TIS) National The Department of Immigration and Citizenship (DIAC) provides the TIS National interpreting service with over 170 languages/dialects available. TIS National is available 24 hours a day, seven days a week. t 131 450 To pre-book a telephone interpreter: Telephone Interpreter Pre-Booking Form INVESTIGATION RESULTS Pathology providers Western Diagnostics Doctors results hotline t 136 999 Laboratory (direct) t 08 8901 7911 Laboratory manager m 0419 191 127 www.wdp.com.au Healthscope General enquiries t 1300 134 111 Laboratory (direct) t 08 89452506 or 89278495 www.healthscopepathology.com.au Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results Laboratory Manager m 0428764984 Sullivan Nicolaides General enquiries t 08 8920 2111 Laboratory manager - Cairns and NT t 07 4051 5922 www.snp.com.au Radiology providers RDH Radiology results t 08 8922 8512 Darwin Medical Imaging t 08 8948 1122 www.darwinmi.com.au Regional Imaging General enquiries/results t 1300 990 474 Customer Relationship Manager m 0418 343 159 www.regionalimaging.com.au Katherine Diagnostic Imaging t 08 8972 1762 Territory Xray Services General enquires t 1300 689 729 GP Liaison Officer available through switchboard www.territoryxray.com.au Diagnostic Imaging Pathways - A clinical decision support tool and educational resource for diagnostic imaging. Inside Radiology – Clinical and technical information for health professionals and consumers. RDH EMERGENCY DEPARTMENT Dr Didier Palmer - Director RDH Emergency Department Triage t 08 8922 8125 f 8922 8904 GP Access Line Call t 08 8922 7900 Resource to speak directly to the lead ED Registrar or Consultant. From midnight weekdays and 6pm on weekends contact via switchboard t 08 8922 8888 Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results Note: Please do not give Accessline number to patients; it is for doctor (or doctor’s delegate) to doctor communication. Health Direct Australia is a FREE 24-hour telephone health advice line staffed by Registered Nurses to provide expert health advice and direct patients, as appropriate, to local health services. MEDICINE Medical referral to RDH, Palmerston and remote / regional centres should be to the relevant subspecialist by name. ACUTE AND GENERAL MEDICINE Acute medical clinic Dr Elio Gagliardo General Physician The acute medical outpatient clinic provides fast access for patients who need an urgent physician assessment but do not require admission. Refer in circumstances where early specialist intervention may assist to reduce preventable admissions, reduce patient complications, morbidity and mortality. Appointments can be made by discussing case with consultant/delegate (contact via hospital switchboard). Send referral to OPD via SEMS or f 8945 3068 Medical clinic For General Medical referrals (specific sub-specialty not required), send referral to OPD via SEMS or f 8945 3068. Dr Michael Lowe Consultation available at both RDH and Palmerston General Physician NT Medical Specialist (private) Private General Physician Service t 08 8927 7026 f 08 8927 7038 e NTMedicalSpecialist@bigpond.com www.ntmedicalspecialist.com.au INTENSIVE CARE MEDICINE Professor Dianne Stephens - Director Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results ANAESTHETICS Dr Brian Spain - Director ALCOHOL AND OTHER DRUGS Patients are seen in Building 9 North, Royal Darwin Hospital Dr Adam Pastor Addiction Medicine S8 prescribing Public RDH OPD Appointments t 08 8922 8399 f 08 8922 8403 Patients seen in: Building 9 North, Rehabilitation Building In the NT prescribing and supply of Schedule 8 medicines is controlled by the Poisons & Dangerous Drugs Act & Regulations. www.health.nt.gov.au/Environmental_Health/Medicines_and_Poisons_Control/index.aspx#MedicinesPoisonsContro lKeyTasks Darwin Withdrawal Service (DWS) Outpatient and outreach withdrawal services are available for individuals who wish to withdrawal from alcohol, opiates, cannabis, amphetamines and benzodiazepines. Clients are triaged by medical team. The DWS team then provides relevant medication, support and counselling. Withdrawal may take place at the RDH (for high risk clients), in supported accommodation (eg. CAAPS and Banyan House) and / or include home visits. DWS open five days per week from 8am to 4.30pm t 08 8922 8399 f 08 8922 8403 Drug & Alcohol Clinical Advisory Service 24 hour clinical advice to medical practitioners, pharmacists and other health professionals t 1800 111 092. Linkages to fact sheets for withdrawal advice. Exploration of drug and alcohol treatment facility. Referral point for secondary consultations for patient with specialist addiction doctors Alcohol and Drug ADIS is a 24 hour, 7 day a week confidential telephone service, offering information, advice, referral and crisis Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results Information Service counselling for people with problems related to drugs and alcohol. t 1800 131 350 CARDIOLOGY All referrals should be sent to NT Cardiac Services Dr Marcus Ilton All patients are seen at Darwin Private Hospital. Dr N Kangaharan A rotating service from Flinders Medical Centre compliments local service. Dr Colin Farquharson Appointments: Fax to NT Cardiac Services: 08 8945 1365 t 08 8920 6250 NT Cardiac Services ECG, Exercise Stress Test, Holter Monitor, Pacemaker check and Echocardiogram Appointments: t 08 8920 6250 Please also fax referral to NT Cardiac Services: 08 8945 1365 NT Cardiac Services patient information sheet RDH Stress testing Exercise stress test. Book t 08 8922 6408 Katherine Hospital Outpatient appointments: t 08 8973 9218 Holter Monitor t 08 8973 9295 or 08 8973 9188 Gove Hospital Outpatient appointments t 08 8987 0295 Echocardiogram t 08 8920 6250 Stress Test t 08 8987 0295 Holter Monitor t 08 8987 0295 Warfarin Initiation Protocol Warfarin Initiation Protocol DERMATOLOGY Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results Dr Bruce McGeorge Public referrals by SEMS or RDH Dermatology OPD on f 08 8945 3068. www.nightcliffmedical.com Private referrals to Territory Medical Group, Nightcliff t 08 8948 4333 f 08 8948 4322 e admin@territorymedical.com Works part time Dr Lachlan Warren Visiting service to RDH from Adelaide every 6-8 weeks. Some outreach services to Gove and Katherine. Dr Jenny Menz Send named referral to Dermatology OPD via SEMS or f 08 8945 3068. Dr Vincent O’Brien Dr Emma Hiscutt Visiting private consultancy only to NT Medical Specialist t 08 8927 7026 f 08 8927 7038 e NTMedicalSpecialist@bigpond.com Dr Dev Tilakaratne Darwin based general dermatology clinic, narrowband UVB phototherapy, patch testing for contact allergies f 08 8945 9526 t 08 8945 7086 e reception@darwindermatology.com.au Suite 8, 5 Tiwi Gardens Road, Tiwi, NT 0810 (also based part time at Royal Darwin Hospital) ENDOCRINOLOGY AND DIABETES Public Patients seen at RDH Outpatients and Palmerston General endocrinology diabetes and thyroid Consultations provided at RDH, Palmerston and Danila Dilba. Send Endocrinology referrals to OPD Appointments via SEMS or f 08 8945 3068 Please note Palmerston Clinics referrals should be addressed to Dr Maple-Brown or Dr Chitturi. Referral for Danila Dilba Main Clinic and Men’s Clinic is via Danila Dilba t 08 8942 3444. Dr Louise Maple-Brown Diabetes only Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results Send referral to Dr Louise Maple-Brown RDH OPD Appointments via SEMS or f 08 8945 3068 Dr Sridhar Chitturi Endocrinology/Diabetes/Obstetric Medicine Send referral to Dr Sridhar Chitturi RDH at Endocrinology OPD Appointments via SEMS or f 08 8945 3068 Obstetric Medicine – send referrals to Medical Obstetrics Antenatal Clinic Fax referrals to: 08 8922 6750. Private referrals to Darwin Private Hospital. t 08 8945 5000 f 08 8945 5700 e admin@ntcardiac.com Dr Diane Howard General / Diabetes / Thyroid. Darwin Private Hospital only f 08 8920 6183 e reception@physicians-nt.com (Private referral only) Patients will be contacted by receptionist, after prioritisation by Dr Howard. Diabetes Foot clinic For review and management of diabetic ulcers. GPs can also request that Registrar review patient to provide recommendations on diabetes management while patient attends this clinic. Send referral to RDH Foot Clinic OPD Appointments via SEMS or f 08 8945 3068 EXERCISE AND SPORTS MEDICINE Dr Geoff Thomson Territory Sports Medicine (private only) 8 Parap Place, Parap Dr Viran de Silva For appointments contact t 08 8941 6677 f 08 8981 4155 e reception@territorysportsmed.com.au Dr Adam Peerzada Services offered: Sports Physicians including assessment of those with medical needs such as asthma, diabetes and cardiac problems. Fitness Testing: Stress tests and medicals. (GP 3 days per week) GASTROENTEROLOGY Procedural, IBD & General Gastroenterology Clinics Public Patients seen at Outpatients Department RDH Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results Dr Edmund Tse Referral via SEMS, f 08 8945 3068 or e GastroenterologyCNC.THS@nt.gov.au. Dr Suresh Sivanesan Please refer to general surgeons for endoscopy or open access gastroscopy where appropriate. Dr Guru Iyngkaran Please indicate if referral is for Procedural, Inflammatory Bowel Disease IBD & General Gastroenterology clinic Dr Nam Viet Pham Private referrals external to TEHS via NT Medical Specialist t 08 8927 7026 f 08 8927 7038 http://www.ntmedicalspecialist.com.au e NTMedicalSpecialist@bigpond.com GENETICS Please refer to appropriate specialty area who can arrange interstate assessment if considered necessary. GERIATRICS Public Patients seen at Outpatient Department RDH and Palmerston Dr Michael Lowe Geriatrics Assessment. Support to Aged Care Assessment Team. Geriatrics continence clinic. Dr John Death Send referrals to named consultants at RDH OPD via SEMS or f 08 8945 3068 Dr David Fonda Memory Clinic Memory Clinic consults provided at RDH and Palmerston. Send referral to Dr Michael Lowe OPD via SEMS or f 08 8945 3068. RACGP guidelines on dementia recommend the following tests as part of the work up, please include in referrals: FBC, ESR, LFT, U&E, TSH, fasting glucose, B12, folate, calcium, phosphate, HIV and syphilis serology (if indicated) Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results Urine – WBC, protein, sugar (culture if delirium) Imaging: CT scan without contrast +/- CXR (if delirium) Dr Phillip Morris Visiting psychogeriatrician. Referral via the ACAT Psychogeriatric team Form – Psychogeriatric Service Referral Aged Care Assessment Team (ACAT) ACATs provide information on suitable care options and can help arrange appropriate residential or community care services such as Home and Community Care (HACC). ACAT assessment is required before people can access residential aged care and Community Aged Care Packages. Form – Aged Care Assessment Team (ACAT) Referral Location Phone Fax Darwin 08 8922 7392 08 8922 7392 Darwin Rural 08 8944 8651 08 8944 8651 If you wish Dr Lowe to see a patient as part of their ACAT work up please also include a routine medical referral. Katherine 08 8973 8503 08 8973 8503 Client referral can occur by family, NGO’s or other health professionals. Nhulunbuy 08 8987 0432 08 8987 0432 Alice Springs Urban 08 8951 6735 08 8951 6735 Alice Springs remote 08 8951 5047 08 8951 5047 Barkly Team 08 8962 4201 08 8962 4201 Alzheimer's Australia offers a range of support, information, education and counselling services. National Dementia Helpline t 1800 100 500 Darwin Support Services t 08 8948 5228 Alice Springs Support Services t 08 8952 979. Dementia Monitoring Program provides individualised help for people with memory problems who live alone, or who have minimal social support. A major benefit of this scheme is that it can maintain a regular check of client's needs, and report back to GP. The Living With Memory Loss program is available to people dealing with dementia or memory loss, and their family members and/or friends. The program is conducted by Alzheimer’s Australia NT at Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results various locations in the Territory. Dementia Behaviour Management Advisory Service (DBMAS) is a nationwide network that provides clinical support for people caring for someone with dementia who is demonstrating behavioural and psychological symptoms of dementia which are impacting on their care. NT DBMAS office is staffed between 8am - 4.30pm weekdays. After hours support available via national telephone service t 1800 699 799. DBMAS is a government funded program and there is no cost to accessing the service. DBMAS can assist to make appropriate referrals to other support services as required. Contact DBMAS 24/7 on free call 1800 699 799 NT DBMAS Brochure. HAEMATOLOGY Public Patients seen at Outpatient Department RDH Dr Ferenc Szabo Referral to specialist Haematology OPD via SEMS or f 08 8945 3068 Dr Akash Kalro Dr Tina Noutsos Thrombosis Clinic Provides specialist advice in thrombosis related issues. Difficult cases will be discussed in a multidisciplinary forum. Dr Ferenc Szabo Appropriate Referrals would include: Dr Akash Kalro 1. Length of anticoagulation in newly diagnosed patients with DVT and PE Dr Tina Noutsos 2. Anticoagulation in patients with recurrent DVT and/or PE, pregnancy and high risk patients for DVT/PE. 3. Thrombophilia screening and interpretation of results. 4. Risk assessment of individuals who work in special environment. Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results HEPATOLOGY – LIVER CLINIC Public Patients are seen at Outpatient Department RDH or Clinic 34, Health House, Darwin Dr Christine Marshall RDH Liver Clinic and visiting service to Gove and Katherine Hospitals Send referrals to specialist by name or Consultant Physician Hepatology at OPD via SEMS or f 08 8945 3068 Patients can be directly referred to clinic 34 for HCV if desired, or equally to RDH. Clinic also provides a liver biopsy service at RDH. Liver Clinic Pre-referral work up recommendations Appropriate referrals include: Proven or suspected haemochromatosis and cirrhosis, autoimmune liver disease HBV likely to need Rx (see CARPA); HCV PCR positive Consider other sub-speciality referrals for un-investigated raised LFTs; mildly raised LFTs and likely NAFLD; surgical problems (biliary colic, gallstones, post-op problems) Link: Hepatitis C Referral Information for Top End General Practitioners HOSPITAL IN THE HOME Infectious Diseases & General Physician GPs can refer directly to RDH hospital-in-the-home (HITH) programme. HITH treatment is safe and is associated with high levels of patient satisfaction, with less disruption to normal life and without a potentially prolonged wait in the emergency department first. Once a patient is admitted to HITH, the Hospital takes full responsibility for all medical and nursing issues until patient is discharged back to the care of the GP. Patients that deteriorate whilst on the HITH programme will be Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results admitted to RDH. GPs can refer during weekday working hours by telephoning the Infectious Diseases Physician on call via Royal Darwin Hospital switchboard t 08 8922 8888. After-hours referral via ED. The Darwin and Palmerston metropolitan areas are covered as far as Humpty Doo. (If your patient lives in the Darwin Rural Area, still consider a referral as arrangements can often be made). Suitable Patients are those who are medically stable, have appropriate social supports (including a designated support person, telephone, safe and hygienic home environment and able to communicate effectively) and are able to consent to home-based therapy may benefit from a direct referral. Common indications for HITH include: cellulitis and other skin / soft tissue infections, uncomplicated diabetic foot infections, DVT and others (call if you think you have a suitable candidate) HITH Referral Information IMMUNOLOGY AND ALLERGY Public Patients are seen at Outpatient Department RDH Dr Peter Bourke. Adult and paediatric immunology and allergy service. Referral to Dr Peter Bourke or Dr Rory Hannah RDH OPD via SEMS or f 08 8945 3068 e allergyclinic.DOH@nt.gov.au Patients either seen at RDH OPD or Palmerston Health Precinct Phone queries to Carly, Allergy/Rheumatology Nurse t 08 8944 8313. INFECTIOUS DISEASES Public Patients are seen at Outpatient Department RDH Dr Bart Currie Specialist clinic conducted by ID specialist on call on rotational basis Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results Dr Nick Anstey Send referral to specialist by name at OPD via SEMS or Fax: 8945 3068 Dr Craig Boutlis Dr Nick Coatsworth Dr Sarah Huffam Dr Catherine Marshall Dr Rick Price Dr Anna Ralph Dr Emma Spencer Communicable Diseases Centre Building 4 RDH Notifications Surveillance of selected communicable diseases and outbreak investigation; initiation of appropriate control measures; development and monitoring of immunisation programs; reports on outbreaks of communicable diseases of public health importance to health professionals and the general community. Address Phone Fax Dr Vicki Krause Director 08 8922 8510 08 8922 8310 CDC Darwin 08 8922 8044 08 8922 8310 CDC Katherine 08 8973 9049 08 8973 9048 CDC Nhulunbuy 08 8987 0359 08 8987 0355 The Notifiable Diseases Act requires doctors to notify diseases which are scheduled under the Act. Download Notifiable conditions to be reported in the NT Some of the diseases are designated as urgently notifiable (marked with a phone symbol) and some are non-urgent. There are two ways to notify a disease: 1. Telephone local CDC number 2. Complete and send Notification Form Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results Clinic 34 Sexual Health & Infectious diseases clinics (sexual health/viral hepatitis and HIV) Liver clinic referrals that require specialist input should all be referred to RDH. See Liver Clinic NEUROLOGY Public Patients seen at Outpatient Department RDH Dr Jim Burrow Send referrals to Dr Jim Burrow OPD via SEMS or f 08 8945 3068 Neurology and nerve conduction studies Private appointments also available via DPH Specialist Suites, DPH. Please fax referral f 08 8945 5700 t 08 8945 5000 Assistance in arranging EEG through EEG Nurse Elke Pohl. Please fax referral – f 08 8944 8388 t 08 8922 8440 ONCOLOGY All patients are now seen at the Alan Walker Cancer Care Centre (includes Radiation Oncology, Medical Oncology, Haematology and Allied Health Support. All referrals should be sent directly to the Alan Walker Care Centre by f 08 8944 8222. t 08 8944 8220 In case of urgency, GPs should contact the medical oncology registrar through the hospital switch board. Medical Oncology Send referral to Consultant by name Oncology OPD via SEMS or f 08 8945 3068 Dr Narayan Karanth External private referrals can also be sent to NT Medical Specialist t 08 8927 7026 f 08 8927 7038 e ntmedicalsepcialist@bigpond.com Dr Wade Pullin Michael Charakidi Radiation Oncology Send referral to Consultant by name Radiation Oncology OPD via SEMS or f 08 8945 3068 Dr Thanuja Thachil Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results Dr Paolo De Feso Alan Walker Cancer Care Centre (AWCCC) provides a comprehensive range of services including: radiation and medical oncology, haematology, chemotherapy nursing, and allied health (social workers, physiotherapy, dietetics, Aboriginal liaison support) Northern Territory Radiation Oncology (NTRO) provides the radiation oncology services to the AWCCC. The NTRO operates as an outpatient facility, Monday to Friday 8.00am to 4.30pm. NTRO is located on the premises of the RDH. For more information refer AWCCC website PALLIATIVE CARE Public patients are seen at Outpatient Department RDH or at Top End Palliative Care Dr Yousuf Zubair Palliative Care Consultant Dr Eswaran Waran Palliative Care Consultant Dr Niamh O’Connor Palliative Care Consultant Simon Murphy Clinical Nurse Manager Tara Worby Clinical Nurse Consultant / Liaison Sue Jabour Clinical Nurse Consultant / Liaison Precious Mapendere Clinical Nurse Consultant-remote Wendy Salmon Clinical Nurse Consultant-Remote Julie Barnes Clinical Nurse Consultant-Urban Marian Flynn Clinical Nurse Consultant-Network Cally Faithful Pastoral Care Coordinator Ann Lardi Social Worker-Bereavement Occupational Therapist Refer to Palliative Care: Public Patients are seen at both Outpatient Department RDH or at Top End Territory Palliative Care t 08 8922 6761 f 08 8922 6775 After a referral is received an assessment will be undertaken. Once a patient is accepted onto the service the palliative care team will work with GPs to tailor a suitable plan of care. Patient/family member may also self-refer. Bereavement care and support is available to family members and significant others. Telehealth Palliative Care Clinics Tuesday 1pm to 4pm and Thursday 9.30am-12pm. To arrange an appointment please send a consult by post, fax or email: Wendy.salmon@nt.gov.ua or Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results Julie Rankin Hospice Social Worker Mardhu Dasgupta Hospice TerritoryPalliativeCareTopend.DoH@nt.gov.au Palliative Care Clinics Flyer The Hospice is a specialised short-stay facility located on the grounds of RDH. The hospice accepts admissions for active symptom management, as a transition to home from hospital, or for care in the final stages of illness. Limited access for respite care. REHABILITATION AND MEDICAL PAIN SERVICE All Public Patients seen at Building 15 Dr Gavin Chin Director, Rehabilitation & Medical Pain Service Dr Howard Flavell Rehabilitation Specialist Public referrals to Rehabilitation f 08 8922 8900 t 08 8922 8866 Private referrals through RDH specialist suites or DPH Appointments: t 08 8945 5000 f 08 8945 5700 Territory Integrated Pain Service (TIPS) Multidisciplinary Pain Management Assessment by multidisciplinary team with medical support, close liaison with the Royal Adelaide Hospital Pain Service Referrals with completed pain assessment to TIPS: f 08 8922 8900 t 08 8922 8866 Integrated Rehabilitation NT Rehabilitation and Pain Management clinic with DPH inpatient service (external private service) Located next to NT Cardiac Services (First floor near Corella Ward) t or f 08 8981 3645 or e irnt@aapt.net.au Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results RENAL Public patients are seen at Outpatient Department RDH Dr A Abeyaratne Send referrals to named Specialist at Renal Clinic at RDH OPD via SEMS or f 08 8945 3068. Dr Jacqui Hughes The Department of Renal Services is very happy to receive referrals from GPs who need help in the management of their renal patients. Appointments will be organised at RDH or at the Palmerston campus. Dr William Majoni Dr M Sundaram Dr Paul Lawton We provide the following services: assessment of patients with haematuria and proteinuria, renal impairment, preparation for renal replacement therapy, donor assessment, renal calculi, hypertension and electrolyte abnormalities NT RESPIRATORY AND SLEEP OUTPATIENTS SERVICES Public patients are seen at Outpatient Department RDH Local Respiratory Physicians General respiratory and sleep consultation, pulmonary function test, home oxygen, sleep studies and bronchoscopy Dr Subash Heraganahally Send referral to Physician by name Respiratory Clinic via SEMS to Respiratory OPD or Fax public referrals to Respiratory OPD t 08 8945 3068 Dr Rebecca Pearson Please include all relevant patient information such as CXR/CT and Pulmonary Function Tests. Dr Emma Spencer Respiratory link team supports post-discharge care for severely ill patients with respiratory illness, especially COPD and Bronchiectasis, to maintain their independence supported by Respiratory Nurses t 08 8944 8059 f 08 8922 8111 Urgent Respiratory and Sleep consults for both urban and remote patients can be discussed with the respiratory registrar at RDH. Can be contacted through RDH switch board t 08 8922 8888 Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results Dr Robert Edwards Royal Darwin Hospital Visiting Respiratory and Sleep Physician (every 2 months from QLD) Dr Rebecca Pearson Darwin Private Hospital Private Appointments via Specialist Suites, DPH. Please fax referral f 8945 5700 t 8945 5000 Dr Shalini Bastlampillai NT Medical Specialist Visiting Respiratory and Sleep Physician t 08 8927 7026 f 8727 7038 e ntmedicalspecialist@bigpond.com Respiratory Rehabilitation Program Respiratory CNC, Department of Health. ‘Inspirations’ - A Pulmonary Rehabilitation Program for people living with Chronic Lung Conditions at Palmerston Community Care Centre t 08 8944 8059 f 08 8922 8111 e respiratorycnc.ths@nt.gov.au Form: Referral for Pulmonary Rehab Program RHEUMATOLOGY Public patients are seen at Outpatient Department RDH Dr Vipin Tayal Send referral to Rheumatology OPD on f 08 8945 3068 or 08 8922 7822 or e allergyclinic.DOH@nt.gov.au Phone queries to Carly, Allergy/Rheumatology Nurse t 08 8944 8313. Dr Mary Samuel Specialist Rheumatology Clinic, Tiwi Medical and Professional Centres, 8/5 Tiwi Gardens Rd, Tiwi (Private) Appointments: t 08 8945 7086 f 08 8945 9526 MENTAL HEALTH Public patients are seen at Tamarind Centre, Ross Smith Drive, Parap Top End Mental Health Services Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results Darwin Office. Tamarind Centre, Parap - General Inquiries and Appointments f 08 8999 4999 t 08 8999 4988 Katherine Mental Health Service t 08 8973 8724 Nhulunbuy Mental Health Service t 08 8967 0415 Tennant Creek Mental Health Service t 08 8962 4300 Crisis Assessment Triage Team Any acute mental health crisis should be discussed with the 24h NT CATT t 1800 682 288 GP Liaison Service GP Liaison Service for GPs in the Darwin urban region offers review and advice to GPs in the management of non-urgent mental health matters and associated medication management issues. Mental health issues may include; significant mood or anxiety disorders, trauma, or psychosis If issues are related to addiction problems then Department of Health Alcohol and Other Drugs services should be contacted not TEMHS. AOD – 8922 8399 or Amity house - 1800 684 372 for alcohol and drug issues GP Liaison has limited resources, to support triage and timely response they request: o Documented active consent from the patient for them to be referred to GP Liaison o Initial trial of treatment regime, and monitored the efficacy of medications, prior to referring in for the GP Liaison Service. o Provision of a comprehensive history, including, presenting issue, treatments / interventions tried and other services involved in the referral Please remember: Consider other suitable services and options for your patients: AOD – 08 8922 8399; Amity house - 1800 684 372 for alcohol and drug issues; Headspace, for Youth mental health support. (Up to 24 years) 89315999 Patients cannot self-refer into GP Liaison. The Mental Health and Related Services Act is the legislation that governs the delivery of mental health services in the Northern Territory and the treatment of people with mental illness in hospitals and the community. Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results The following brochures provide more information about specific areas of the Act: Rights and Responsibilities (Adobe PDF document - 712KB) Involuntary Admission (Adobe PDF document - 719KB) Voluntary Admission (Adobe PDF document - 716KB) Community Management (Adobe PDF document - 717KB) Community Visitor Program (Adobe PDF document - 668KB) Mental Health Review Tribunal (Adobe PDF document - 716KB) Forms for practitioners: Form 9 - Entry to Mental Health Services (Adobe PDF document - 464KB) TEHMS – Adult Services All public outpatient consultations are at: Tamarind Centre, Ross Smith Ave, Parap Referrals - t 08 8999 4988 f 08 8999 4999 A/Professor Rob Parker, Director Any acute mental health crisis should be discussed with the 24 hour Northern Territory Crisis Assessment and Triage Team (CATT) t 1800 682 288 GP Referrals – ring and discuss your referral with GP Liaison team t 1800 682 288. The triage clinician will discuss presentation and available options with you. GP Liaison explanation letter Form TEHMS GP Liaison referral form by fax to 08 8942 6568 CATT team can then advise on: Best location for patient to be assessed: Depending on patient location and CATT workload, CATT team may be able to attend patient or will see in Building 9 on RDH campus – opposite Cowdy ward. Usually Tamarind Centre during working day hours If patient is likely for admission, the usual practice will be to refer patient to ED where facility/infrastructure is better setup for this process Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results Transport; Personal arrangements; +/- Ambulance Police should be considered last resort and only if patient is dangerous, also needs escort. If GP believes the patient requires an urgent psychiatric assessment, please contact NTCATT. GP can complete Entry to Mental Health Services Form 09. This enables patient to be detained for 6 hours and requires the patient to be assessed by an Authorised Psychiatric Practitioner (APP) or a Designated Mental Health Provider DMHP. For remote patients the assessment may be done by telephone and/or via a DMO. Where a medical officer refers for a psychiatric assessment it may be that the patient is assessed by either an APP or DMHP. While there is no mandated requirement to inform the referring medical officer of the outcome of this process it is considered best practice that the referring MO should be informed of the outcome. Phone Phone Darwin Team 08 8999 4988 Katherine Team 08 8973 8722 After Hours and Emergency 1800 682 288 After Hours and Emergency -Katherine 08 8973 9211 Inpatient Unit (at RDH Campus) 08 8922 8850 Forensic Team (at RDH Campus) 08 8922 7800 East Arnhem Team 08 8987 0400 Darwin Rural Team (at RDH Campus) 08 8922 8317 After Hours Emergency –East Arnhem 08 8987 0211 PSYCHIATRY Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results Public patients are seen at Outpatient Department Tamarind Centre, Ross Smith Avenue PARAP Dr Jill Pettigrew Katherine public Address Phone Fax Katherine Mental Health 08 8973 8722 08 8973 8561 08 8919 8919 08 8931 3737 08 8941 3729 08 8948 4322 Private Rooms in Malak - Patients will be advised of address at time of appointment confirmation. 0466 585 078 08 8927 4024 Referrals to: CDU Medical Centre PO Box 41291, Casuarina, NT 0810 Lakeside Drive, Alawa, NT 0820 08 8901 8800 08 8901 8811 First Street, Government Centre Dr Sharon Crabbe Dr Mary Frost Public and sessional private Palmerston GP Super Clinic Private only Territory Medical Group - Bayside e contact@fcdhealth.net.au Shop 3, 9 Keith lane. Fannie Bay NT 0820 Dr Tricia Nagel Darwin based private (1-2 session / week) Assessment and care planning only Professor Dinesh Arya Darwin based private (1 session / week) Assessment and care planning only e casuarina@fcdhealth.net.au Saturday videoconference PSYCHOLOGY AND COUNSELLING SERVICES Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results Darwin Psychological Directory- Darwin Directory of Psychological Services Alice Springs Psychological Directory- Alice Springs Directory of Psychological Services MATERNAL AND CHILD HEALTH GYNAECOLOGY Note all public consultations occur in the OPD - 8th floor, main block, RDH RDH Dr Margaret O’Brien (Head of Division) For Obstetrics and Gynaecology services please send referrals to Specialist by name at RDHOPD via SEMS or f 08 8945 3068 Dr Kirsten Connan Dr Nader Gad Dr Bhupendra Khara Dr Gurmeet Singh Dr Jane Thorn Dr Sujatha Thomas Private O&G Dr Nader Gad Private referral to Darwin Gynaecology Specialist Clinic, Casuarina Shopping Village, t 08 8945 6911 f 08 8945 6922 Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results Dr Gina Wulf Dr Oseka Onuma Dr Andrew Miller Private referral to Territory Medical Group, Woolworths Complex, Nightcliff NT 0810, t 08 8948433 f 08 8948 4322 e admin@territorymedical.com.au Private referral to Darwin Private Hospital Consulting Suites, t 08 8920 6201 or 08 8945 5233 t 08 8920 6248 Dr Stephen O'Callaghan Dr Jenny Mitchell SEXUAL AND REPRODUCTIVE HEALTH Reproductive Medicine Unit DPH Dr Stephanie Girle and Dr Nicky Purser. Rotating support from Adelaide. t 08 8945 4211 f 08 8945 4255 Family Planning Welfare NT Contraception including Implanon, IUD insertion; management of sexual dysfunction including psychological support from clinical psychologist; office gynaecology; pregnancy issues including first trimester ante-natal and post-natal care; well woman screening Head Office and Darwin Clinic Unit 2, the Clock Tower, Coconut Grove, NT 0810 t 08 8948 0144 f 08 8948 0626 Clinic 34 Free and confidential sexual health service. Grd Flr Health House, Mitchell St Darwin t 08 8999 2678 f 08 8999 2688 http://www.health.nt.gov.au/Clinic_34/ Sexual Assault Referral Centre Doctors and counsellors available 24 hours to discuss adult and child acute or historical sexual assault cases. Darwin (24/7) t 08 8922 6472 f 08 8922 6499 Katherine t 08 8973 9211 Nhulunbuy t 08 8962 1715 Coconut Grove t 1800 193 121 t 08 8948 0144 Mobile Outreach Services (MOS) Mobile counselling service to Indigenous communities to assist with healing of children and families who may have been subjected to child sexual assault. Offices in Darwin, Tennant Creek, Katherine and Alice Springs t 1800 993 064 or Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results 08 8922 6517 OBSTETRIC CARE – PUBLIC RDH OPD appointments - send referral to Antenatal Clinic (ANC) OPD via SEMS or f 08 8945 3068 t 08 8922 8699 FOR ALL PATIENTS GPs should: Confirm pregnancy and offer healthy pregnancy advice. Provide information on options of care – shared, private and public. GPs will need to provide first trimester care for all public patients (and the majority of private patients). All public referrals should initially be to first antenatal clinic. The orange hand held record should be completed, and provides a useful prompt and checklist to assist with comprehensive assessment. The pregnancy information kit (available from the NT PHN) should be provided to all women in their first pregnancy and as appropriate At the first antenal clinic visit at RDH, a women’s suitability for models of antenatal care will be assessed. If a woman is assessed as low risk, the woman has the choice of continuing Shared Care with GP, or attending the Midwives Clinic at RDH, the Community Midwives Program, or continuing with the antenatal clinic. See pamphlet “Pregnancy Care at RDH-Birthing Option “ For public patients ANC will also organise the fetal morphology scan for 18 weeks. If the woman has uncertain dates and no previous ultrasound RDH usually do a dating scan at the first antenatal clinic but it is preferable for the GP to organise this. List of public Obstetric and Gynaecology Specialists above. OBSTETRIC CARE - PRIVATE Note: Patient will usually not be seen before 12 weeks GPs. Exemption Dr O’Callaghan Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results Dr Andrew Miller Send named referrals to: Consulting Suite, Darwin Private Hospital Dr Jenny Mitchell Dr Steven O’Callaghan t 08 8945 5233 Or f 08 8920 6248. Antenatal Options Comments Antenatal Clinic Patients who are considered not suitable for GP Shared Care or community Midwife based care will continue in ANC. RDH First ANC Appointments: To Antenatal OPD via SEMS t 08 8922 8699 f 08 8945 3068 As patients are not usually seen until 14 weeks GPs should provide first trimester care GP CARE in PREGNANCY GUIDE GP Shared Care Refer to First ANC indicating patient would like to continue with GP Shared Care. Shared care between GP and Medical ANC / Obstetrician at RDH Referral to RDH First ANC via SEMS or f 08 8945 3068 t 08 8922 8699 GP provides majority of antenatal care. GP CARE in PREGNANCY GUIDE Women should be referred to first ANC between 12 - 20 weeks and then again at 36, 40 & 41 weeks. Delivery at RDH Delivery Suite 6th floor Main ward block RDH. Midwife Led Care: Refer to first to Antenatal Clinic indicating patient would like to continue care through MWC or through CMP. Midwives Clinic (MWC) RDH First ANC Appointments: OPD via SEMS t 08 8922 8699 f 08 8945 3068 Community Midwives Program (CMP) Note: all RDH consultations occur in OPD Clinic, 8th floor, Main ward block, RDH Consultations also held at Palmerston Health Precinct. Cnr Roystonea Avenue and Temple Terrace 1 Midwives Clinic (MWC) Midwifery Group Practice (MGP) Referral for MWC required before 22 weeks gestation. Midwife ANC based at RDH OPD Clinic. Delivery is at RDH Delivery Suite 6th floor Main ward block RDH. Complete relevant sections of orange hand held record. Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results 2 Community Midwives Program (CMP) CMP care is available only for low risk women. Strict entry criteria apply. Places are limited. Women can register interest directly to the Birth Centre from 14 weeks but will require a first visit in the Antenatal Clinic. GPs should complete relevant sections of orange hand held record. CMP provides continuity of care through antenatal, intrapartum and postnatal with care provided by midwives. Care is provided from Birth Centre at RDH but may involve home visits. Delivery is either in the Birth Centre or at RDH Delivery Suite 6th floor. Postnatal follow up with home visits, 24-hour on-call support and postnatal care for up to three weeks following birth. 3 Midwifery Group Practice (MGP) The MGP offers Darwin-based care for remote Indigenous women, from consultation rooms in Wanguri. Under the Midwifery Group Practice, women are assigned a Darwin-based midwife who works in conjunction with an Aboriginal Health Worker. The midwife accompanies the mother to any specialist appointments, conducts their antenatal care and education, and assists at the birth of the baby, either in the Delivery Suite or the Birth Centre at Royal Darwin Hospital. The MGP began in September 2009 for mothers from Wadeye, Maningrida, Palumpa and Peppimenarti. The communities of Warruwi, Minjilang and Nauiyu Nambiyu (Daly River) have recently been added to the program. The Practice is funded by the NT Government’s Closing the Gap initiative with supplementary funding from the COAG Indigenous Early Child Development Partnership. Medical Obstetric Antenatal Clinics (High Risk Antenatal Clinic) Combined Medical and Obstetric Clinic (includes Obstetrician and Endocrinologists) Public hospital patients who meet inclusion criteria for Medical Obstetric Clinic (see below) should be jointly referred to Dr Sridhar Chitturi (Endocrinology) and Dr Sujatha Thomas (Obstetrician) Fax referrals to 08 8922 6750. This clinic is designed to manage the care of women with high risk pregnancies and with concurrent or pre-existing medical illnesses. Examples of co-existing medical conditions warranting referral to this clinic include: Pre-gestational T1 and T2 diabetes, Other endocrine problems: thyroid disease, pituitary dysfunction and adrenal disorders, Severe hypertension Active hepatic/renal/haematological/rheumatological/Infectious disease needing joint care with sub-speciality teams, Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results Cardiac disease – including valvular stenosis or other dysfunction, prosthetic heart valves, history of heart failure or prior surgery, myocardial dysfunction, congenital heart disease, pulmonary hypertension and Marfans syndrome, Current or past history of venous or arterial thromboembolosim. See attached Memo from Dr Thomas re Medical Obstetrics Clinic Pregnant women who prefer to be seen by private obstetrician who have co-existing medical conditions warranting referral to an Endocrinologist privately, should be referred to Dr Sridhar Chitturi f 08 8945 5700 or Dr Diane Howard via private referral. Home Birth Options The service is provided to enable Health Service contracted Home Birth Midwives, in collaboration with the multidisciplinary health team, to provide effective and professional primary midwifery care. The care extends across pregnancy through to the postpartum period and the service supports eligible women electing to labour and birth at home. t 08 8922 5522 http://health.nt.gov.au/Womens_Health/Maternal_and_Infant_Health/Home_Birthing/index.aspx GPs can support care through assisting arranging routine screening. OTHER PREGNANCY RELATED SERVICES/CLINICS Pregnancy Counselling Free, professional, confidential counselling in relation to pregnancy testing, unplanned pregnancy, post-abortion concerns, pregnancy support, pregnancy loss & adoption Pregnancy Helpline Phone Tollfree: 1300 139 313 (national) Pregnancy Counselling Link Phone Tollfree: 1800 777 690 (national) Healthdirect Australia The Pregnancy, Birth & Baby Information: healthdirect Australia helpline 1800 882 436 also provides (non emergency) information related to pregnancy, birth and parenting in the first 12 months. http://www.healthdirect.gov.au/pregnancy-birth-and-baby Anti-D Anti-D is available from RDH Pathology or via your immunisation order for the for Prevention of Rhesus Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results Alloimmunisation in Rh(D) negative women. Please refer to the following guidelines for further information. Accessing Anti-D for Prevention of Rhesus Alloimmunisation Guidelines for Prevention of Rhesus Alloimmunisation in Rh(D) Negative Women Early Pregnancy Loss Clinic RDH An Early Pregnancy Loss Clinic held every day (Mon - Thurs from 9am – 12pm and Friday afternoon) aimed at women who are having problems in the first 14 weeks of their pregnancy, such as pain or bleeding. Inclusion criteria includes: Pregnancy up to 13+6 weeks gestation with pain and or vaginal bleeding, but clinically stable Documented/suspected early pregnancy loss Exclusion criteria includes: More than 14 weeks completed gestation Emergency Department Triage Category 1 or 2 Haemodynamically unstable/ heavy bleeding Pain requiring more than simple analgesia Suspected ectopic (shoulder tip pain, rebound tenderness, abdominal rigidity, ↑ Pulse, ↓ BP) Please address referrals to Dr Thorn, Thomas and Colleagues, Early Pregnancy Loss Clinic at RDH OPD: SEMS or f 08 8945 3068, or directly on 08 8922 6750. Alternatively Phone OPD appointment (8am-4pm) EPLC reception on 08 8922 7985. Referral template – Early Pregnancy Loss Clinic RDH All consultations occur in the outpatient clinics on the 8th floor, Main ward block, RDH. Please give woman the EPLC Patient Information. OPD Reception will contact the patient by telephone with details of appointment time. Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results Surgical Termination of Pregnancy (STOP) Address all referrals to Gynaecology Clinic Dr Regina Wulf t 08 8945 3068 f 08 8944 8742. See attached link to letter from Dr Regina Wulf addressed to NT General Practitioners - REFERRALS FOR GYX (STOP CLINIC) Please ensure the referral indicates that the referral is for a termination of pregnancy Where possible complete and note the following in referral – Gestational assessment, Patient counselled regarding options for unplanned pregnancy, and Patient counselled regarding STOP PAP smear, Contraception requirements for the patient post-STOP Note Gynaecology STOP clinic is at Darwin Private Hospital Preadmission clinic, on the Ground Floor RDH Main Block Private STOP Dr Andrew Miller Referrals to Consulting Suite, Darwin Private Hospital. t 08 8920 6201 to book appt. and also fax referral: 08 8920 6248. PAEDIATRICS Referral interests Dr Paul Bauert General, respiratory and developmental (Director) Dr Charles Kilburn Cardiac, General and Developmental Send public referral to OPD via SEMS or f 08 8945 3068. Urgent Appointments please phone the Paediatric Nurse to arrange appointment on Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results 08 8922 9319. Dr Peter Morris General Dr Kathryn Roberts General and developmental Dr Louise Woodward General and Developmental Dr Louise Martin MAC team, child sexual abuse Dr Joshua Francis Infectious Diseases Dr Doug Heller General and Developmental Most patients will be bulk-billed for paediatric attendances. Parents or guardians or patient should be told to bring their Medicare card to appointment. PLEASE NOTE: Under the MBS a child under 14 years seen by a paediatrician with autism related disorders can now be on-referred by paediatricians for up to 20 allied health services (occupational therapy, psychology, speech therapy). This can be coordinated via paediatric outpatients. Please refer to a paediatrician by name with an interest in developmental paediatrics Paediatricians can also write Better Access to Mental Health Care Plans to see a psychologist for 6 visits + option further 6 visits for any child. See Using the MBS to access services for children with behavioural disorders Dr Gurmeet Singh General and Developmental Dr Catherine Boyd General and Developmental Send private referrals direct to ‘Top End Paediatrics’ CDU Medical Centre or ‘Top End Paediatrics’ Palmerston GP Super clinic Dr Keith Edwards Community Paediatrician general and developmental t 08 8922 8444 Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results Prof Anne Chang Cough study Complex respiratory (via tertiary referral only). This is for paediatric patients (<18 years) with chronic cough who are randomised into 2 groups - seen at two weeks or at six weeks. Dr Manbir Chauhan Neonatal and Perinatal Medicine Please address referrals by name to the relevant specialist listed and send via SEMS or f 08 8945 3068. Dr Ben Dayaratne Private, general Specialist Paediatrician Nakara Medical Clinic t 08 8927 1873 Palmerston Medical Clinic t 08 8932 5100 patients can be referred with or without a referral letter. SURGERY Send referral to Surgeon by name at OPD via SEMS or f 08 8945 3068 GENERAL RDH General Surgery (Public) Dr Ruth Hardstaff Mr Luke Anthony Send Public/private referral to Surgeon by name at RDH Surgical OPD via SEMS or f 08 8945 3068. Consider referral options such as open access gastroscopy Dr Jon Wardill available for public hand clinic speciality only Other public surgeon as listed jointly below Mr Sanjay Kalgutkar Dr Stephanie Weidlich Dr Dharmawardhane Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results Mr Ajay John General Surgery (Public/private). Private referrals to NT Medical Specialist t 08 8927 7026 f 08 8927 7038 e ntmedicalspecialist@bigpond.com Assoc Prof Phillip Carson General, thoracic, breast, oncology and urology (Public/private) Private referrals to Central Specialist Clinic t 08 8981 9966 f 08 8941 0595 Mr Peter John Treacy General Surgery (Public, private), including Endoscopy, Laparoscopic Gastric Banding (private only) Private Referrals to be sent to: PO Box 43022, Casuarina NT 0811 t 08 8920 6240 f 08 8920 6237 Darwin Private Hospital General Surgery (Public, private) Mr David Read Private referrals to Physicians Rooms, Darwin Private Hospital Mr Patrick Bade Mr Dan Campbell Mr Jon Wardill General Surgery (and Hand Clinic). Private referrals to Central Specialist Clinic t 08 8981 9966 f 08 8941 0595 ENDOSCOPY Gastroscopy Referral available through: Outpatients Surgical or Gastroenterology (Public) Open Access Gastroscopy to Consultant Surgeon (Public) Direct referral to any Private Surgeon Recommendation that all patients with significant co-morbidities, requiring upper gastrointestinal endoscopy or flexible sigmoidoscopy should be referred directly to Surgical Outpatients To assist with the triage of Gastroscopy bookings please clearly indicate the referral is for open access gastroscopy and Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results the triage category. Send referral to Surgeon by name at OPD via SEMS or Fax: 8945 3068 GPs should ensure patients are informed about the procedure, risks and possible complications. Patient Information sheet - Gastroscopy The procedure will be performed by one of the RDH surgeons or senior registrars with the clinical findings and biopsy results forwarded directly to the referring GP for follow up. Information for GPs on gastroscopy including what to information to provide the patient. Colonoscopy Patients requiring public colonoscopy should be referred directly to Surgical Outpatients for a Specialist assessment. All private general surgeons also offer a private colonoscopy service HAND SURGERY Mr Shiby Ninan Consultant Plastic Reconstructive, Hand and Microvascular Surgeon Public referral to Mr Shiby Ninan to Hand Clinic OPD via SEMS or f 08 8945 3068. Private referral to Territory Medical Group. t 08 8948 4333 f 08 8948 4322 e admin@nightcliffmedical.com Mr Jon Wardill Hand and General Surgery Public referral to Mr Wardill to Hand Clinic OPD SEMS or f 08 8945 3068. Private referrals to Central Specialist Clinic, 8th floor NT House, 22 Mitchell St. Darwin t 08 8981 9966 f 08 8941 0595 Dr Ravi Mahajani Consultant Plastic Reconstructive, and Hand Surgeon See web site: Northern Plastic Surgery NT Public referral to Dr Mahajani at Hand Clinic OPD via SEMS or f 08 8945 3068 (Patients may be seen at private rooms) Patients seen at Private rooms – Unit 7, 25 Parap Rd, Parap. 0820 Private referrals to PO Box 2006 Parap t 08 8981 4500 f 08 8981 4399 e admin@npsdarwin.com.au Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results LAPROSCOPIC BANDING SURGERY There is no public laparoscopic gastric banding service available at RDH. Darwin Obesity Surgery Centre Mr John Treacy DPH Private Laparoscopic Banding Surgery t 08 89206240 f 08 89206237. Dr Treacy works with a team including Medical Practitioner Dr Doug Hardcastle, Physician Dr Elio Gagliardo, Dietitians Richard Sager, Bethany Prosser and Brittney Fawcett, Exercise Physiologist Kia Naylor, Psychologist Raylene Chandler (Caring Matters), Anaesthetist Dr Chris Purser, Nurse Sylvia Steenkamp and Practice Manager Eila Allen. For more information see Darwin Obesity Surgery Centre Innovation HealthCare Book through private room t 08 8359 2411. Patients seen at Central Specialist Clinic, 8th Floor NT House, 22 Mitchell St. Mr Justin Bessell Works with and will arrange referral to other team members: including Ms Sally Johnson, nutritionalist, who provides dietary education and advice. May also refer to Psychologist if required. For more information see Innovation HealthCare Visiting Private MAXILLOFACIAL AND HAND AND NECK SURGERY Mr Mahiban Thomas Maxillofacial, head and neck surgery. Send referral to Consultant at OPD via SEMS or f 08 8945 3068 Mr Cameron Scott Management of all swellings of the region of the H&N, both paediatric and adult, covering benign and malignant disease. Includes care of all salivary gland pathology, goitres, and congenital lesions of the H&N. Referrals also welcome in all areas of facial trauma, and in the management of all facial pain. Mr Justin Curtin Dr James Badlani Private referral to Territory Medical Group – Nightcliff t 08 8948 4333 f 08 8948 4322 e admin@territorymedical.com This will include consulting and minor operating on site at NMC, and operating every Monday at the DPH. Mr Hemi Patel Otolaryngology and head and neck surgery Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results Public/private Send referral Mr Patel at Otolaryngology and head and neck surgery OPD via SEMS or f 08 8945 3068 Special interest in larynx and pharynx cancers, paediatric and adult neck lumps including salivary gland and thyroid. Conducts weekly head and neck clinic Mr Miles Doddridge Darwin Orthodontic Centre 10/4 Manton Street, Darwin Phone t 08 8981 9782 f 08 8941 0445 Visiting NEUROSURGERY Mr Santosh Poonnoose Mr Nik Vrodos Both Neurosurgeons visit every two months alternating. Complex spinal surgery and interest in skull base and epilepsy surgery Appointment through tertiary referral. Refer to Orthopaedics. Public patients seen in Neurosurgery Clinic at RDH Private patients seen at Central Specialist Clinic, 8th floor NT House, 22 Mitchell St Book through private rooms in Adelaide Phone t 08 08 8204 4355 f 08 8204 5116 OPHTHALMOLOGY Eye Clinic Royal Darwin Hospital Send referrals to Dr Tharmalingam Mahendrarajah or Dr Nishantha Wijesinghe or Dr Hema Karthik at OPD via SEMS or f 08 8945 3068 Appropriate triaging at General Practice and Optometry level will assist in prioritising limited Ophthalmology resource. See attached guidance. Information on referrals to Ophthalmology at Royal Darwin Hospital Some Outreach Opthalmology services available to Katherine and Gove. Dr Tharmalingam Consultant Ophthalmologist Services at RDH and NT Eye Specialists Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results Mahendrarajah Send named referrals Consultant Ophthalmologist at Eye Clinic, RDH via SEMS or f 08 8945 3068 Dr Nishantha Wijesinghe Private referrals through referral to NT Eye Specialists, Tiwi Medical Centre, 7/5, Tiwi Gardens Road, Tiwi, NT 0810 Dr Hema Karthik t 08 89273719 f 08 89270423 Visiting tertiary referral to Neuro Ophthalmologist, Paediatric Ophthalmologist, Oculo Plastic Specialist, Inflammatory Eye Disease specialist, and Vitreo Retinal Specialist is via RDH Consultant Ophthalmologist only. OTOLARYNGOLOGY – EAR, NOSE AND THROAT Mr Garrett Hunter (CoDirector of Surgery & Critical Care Otolaryngology) Send referral to Mr Hunter or Mr Patel at Otolaryngology OPD via SEMS or f 08 8945 3068 Mr Patel has additional special interest in vertigo, head and neck surgery, including Neck Lump Clinic. Mr Hemi Patel Mr Graeme Crossland Mr Kym Diamantis For appointments ENT Practice Manager, Maddy t 08 8223 2633 or phone Kym m 0419 373 849. Visiting private only Patients are seen at Rooms at Darwin Private Hospital Dr Michael Zacharia Address: 1/53 Ross Smith Avenue, Parap. t 08 8981 7318 f 08 8981 6866 Visiting private only Dr A Foreman Sub-speciality GP proceduralist Ear Nose and Throat. Address: 54 Ellengowan Drive, Nakara t 08 8927 9752 (GP proceduralist) ORTHOPEDIC OUTPATIENTS OR FRACTURE CLINIC Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results Orthopaedic and Send named referrals to Fracture Clinic/Orthopaedics OPD via SEMS or f 08 8945 3068 Fracture Clinic (Private referrals through referral to private rooms) Mr Matthew Sharland Mr Janak Mehta Mr Kush Raj Shrestha Central Specialist Clinic Private referrals to Central Specialist Clinic, GPO Box 2045 Darwin, t 08 8981 1711 f 08 8941 0595 Mr Janak Mehta Mr Steve Baddeley Casuarina Health Services Centre Private referrals to Casuarina Health Services Centre, Suite G4/9 Scatchurio St, Casuarina, t 08 8945 1122 f 08 8945 2211 Mr Ba Nyunt Nautilus *Need to add Nautilus doctors SPORTSMED-SA Multiple / rotating visiting Orthopaedic surgeons from Adelaide. Patients seen at SportsMed - SA 8 Parap Place, Parap. t 08 8941 2588 f 08 8941 0677 PLASTIC AND RECONSTRUCTIVE *Dr Ravi Mahajani Public referral to Dr Mahajani at Plastic and Reconstructive Surgical OPD via SEMS or f 08 8945 3068 Private patients are seen in the RDH Specialist Suites at DPH Private Rooms Level 1, 7 Keith Lane, Fannie Bay 0820 t 08 8981 4500 f 08 8981 4399 Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results Mr Shiby Ninan Public referral to Dr Ninan at Plastic and Reconstructive Surgical OPD via SEMS or f 08 8945 3068 Private referral to Territory Medical Group, Woolworths Complex 159 Dick Ward Drive, Nightcliff, NT 0810 t 08 8948 4333 f 08 8948 4322 e admin@territorymedical.com.au Dr Mark Moore Visiting, plastic and reconstructive, craniomaxillo facial surgery Private referrals to Consulting Suite DPH t 08 8267 4566 f 08 8239 2349 SPORTS MEDICINE – PRIVATE ONLY Territory Sportsmedicine Sports Physician General Practice Dr GeofThompson t 08 8941 6677 f 08 8981 4155 e reception@territorysportsmed.com.au. Services offered: Dr Viran De Silva Sports related diagnosis, management and rehabilitation Dr Adam Perzaada Physiotherapy: including Sports Physiotherapy, massage, hydrotherapy, dry needling, core stability Pilates, real time ultrasound Fitness Testing: Stress tests and medicals. Central Specialists Sports Injury Clinic: Early diagnosis and management of back pain, sporting and related injuries. t 08 8981 1711 f 08 8941 0595 Dr Doug Hardcastle Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results UROLOGY Dr Henry Duncan Urology - Specialises in all areas of adult urology and has a particular interest in stone disease, urological malignancies and male voiding dysfunction. Duncan Urology, Darwin Private Hospital, Rocklands Drive, Tiwi 0810 t 08 8920 6212 f 08 8920 6213 e admin@duncanurology.com.au www.duncanurology.com.au Weekly public outpatient urology clinic at Royal Darwin Hospital. Send Public referral addressed to Henry Duncan at RDH Urology OPD via SEMS or f 08 8945 3068. Dr Kim Pese Dr Kym Horsell Urological monthly visiting service Urological malignancies Haematuria. Stone disease Male urinary symptoms. PSA /prostate assessment. Male sexual dysfunction. Female voiding difficulties and incontinence. Refer to a general surgeon by name to RDH Surgical Outpatients and the general surgeon is able to refer public patients to Urologist as required Private Rooms, Darwin Private Hospital Referrals to be faxed to Adelaide office prior to scheduled appointments on 08 8292 2388 t 08 8292 2399 e admin@urologicalsolutions.com.au Most urological surgery can be offered in Darwin, including radical prostatectomy for prostate cancer. Some complex laparoscopic surgery and minimally invasive laser surgery for renal stones cannot be offered in Darwin at present. VASCULAR Dr Mark Hamilton Referrals via SEMS or f 08 8945 3068 Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results DEPARTMENT OF SURGERY – VISITING SPECIALISTS Visiting Specialists referral is only available through specialist tertiary referral Specialty Approximate frequency COMPTON, John Corrective Squint surgeon (Paediatric) 6 monthly COSTA, Prof Corneal Specialist FARINELLI, Adrian Glaucoma Specialist GABRIEL Ocular specialist HORSELL, Kym Urologist 2 monthly KOURT, Georgina Ocular Plastic Surgeon Annual McGUIRE Terry Paed.Ortho Surg 6 monthly MARTIN, Frank Neuro Ophthalmologist (Squint Specialist) Annual MOORE Mark Plastic Surgeon 3 monthly PARKINSON, Richard Visiting Neurosurgeon (Sydney based) Monthly PESE, Kim Urologist 2 monthly PHILLIPS, Russell Vitro-retinal specialist 6 monthly POONNOOSE, Santosh Neurosurgeon (Adelaide) 2 monthly alternating Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results VRODOS Nik WOODWARD Alan Paediatric Urologist Annual Health Network Northern Territory Ltd operating as Northern Territory PHN We value: Relationships ● Equity ● Responsiveness ● Innovation ● Results